Acute plasma apical periodontitis generally do not need to be extracted. Clinically, after the emergence of acute apical periodontitis first need to observe the tooth, determine whether the tooth has the value of retention, if the wisdom teeth appear in this case, generally can be timely extraction of the tooth, to be eliminated after the elimination of inflammation can be timely extraction of the tooth. If it is a normal tooth, there is a value of retention, it is best not to extract the tooth, at this time you can choose to carry out root canal treatment, can effectively alleviate the symptoms of apical periodontitis, but also can be restored crowns, so as not to lead to loosening of the teeth. The treatment process requires regular medical review, maintain good living habits to avoid inflammation.